Hedis RN - Nashville, TN

+Job summary · This is a HEDIS course for individuals looking to start working as a HEDIS Abstractor.Medical Terminology · Introduction to HEDIS · ...

The contract nurse is responsible for retrieval, review, and abstraction of medical record data, · required for a non-complex sub-set of STARS and HEDIS measures as well as entering the data quality program tool. · ...

We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants. · ...

+Job summary · You could be the one who changes everything for our 28 million members. · +Serve as primary contact for providers and act as a liaison between the providers and the health plan · Triages provider issues as needed for resolution to internal partners · ...

This is a primary care opportunity in Nashville for an Internal Medicine Physician with over $300k in first year compensation. The physician will join a forward-thinking value-based care organization focused on delivering exceptional preventive primary care for adults 65+. · ...

The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS, NCQA, and state regulations. · Review and investigate quality-of-care cases · Conduct concurrent and retrospective clinical reviews · Analyze medical records · ...

This is an opportunity to join a forward-thinking value-based care organization focused on delivering exceptional preventive primary care for adults 65+. The model empowers physicians to build meaningful patient relationships and practice medicine without RVU pressure. · Board Ce ...

+The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS NCQA and state regulations. · +Review and investigate quality-of-care cases · Conduct concurrent retrospective clinical reviews · Analyze medical records · +A ...

We are seeking a primary care physician to join our team in Nashville, TN. This is an excellent opportunity for a mission-driven physician who is passionate about improving outcomes for older adults. · Board Certified / Board Eligible in Internal Medicine or Family Medicine · Ger ...

The Clinical Quality Navigator II ensures appropriate clinical data exists and identifies ways to improve member health. · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

You could be the one who changes everything for our members. · As a Data Analyst II at Centene you'll have access to competitive benefits including flexible workplace options. · ...

The Clinical Quality Navigator is responsible for ensuring that appropriate clinical data and documentation exists, · as well as proactively identifying ways to improve the health of our members and meet clinical quality goals.Assesses member's clinical quality needs and closure ...

We are seeking a highly-skilled, experienced Primary Care Provider to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment. · In a ...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. · Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement pr ...

The Primary Care Physician (PCP) works as a lead in our team-based care environment.Responsibilities: · Evaluates and treats center patients in accordance with standards of care. · ...

The Registered Nurse Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, · and Healthmap members that are engaged in Healthmap's Kidney Management Program through coordinating performance improvement ...

The Director of Risk Management is responsible for managing the Medicare Advantage risk adjustment process and encounter data processing in accordance with CMS regulations. · This role will establish monitor and maintain the processes systems that collect and process the data fro ...

The Clinical Quality Auditor Sr. is responsible for ensuring clinical quality through an audit process.This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy ...

Nashville General Hospital is hiring a Full Time Day Shift Nurse Manager (RN) for multiple ambulatory specialty clinics. · The Nurse Manager will have oversight for hematology/oncology, renal, women's health & neurology specialties. · ...